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REGULAR MEETING OF THE WELLINGTON VILLAGE COUNCIL

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Wellington Council Meeting April 10, 2012 Page 78 of 384<br />

REFERENCE SHEET<br />

In order to receive Bid Award Consideration on the proposed bid, it is a required that this<br />

sheet be completed and returned with your bid/proposal. This information may be used<br />

in determining the Bid Award for this project.<br />

BIDDER (COMPANY NAME:______________________________________________<br />

ADDRESS:______________________________________________________________<br />

CONTACT PERSON:_________________________TITLE:______________________<br />

TELEPHONE:_______________________________FACSIMILE:_________________<br />

NUMBER <strong>OF</strong> YEARS IN BUSINESS:________________________________________<br />

ADDRESS <strong>OF</strong> NEAREST FACILITY:________________________________________<br />

LIST THREE (3) COMPANIES OR GOVERNMENTAL AGENCIES WHERE <strong>THE</strong>SE<br />

PRODUCTS OR SERVICES HAVE BEEN PROVIDED IN <strong>THE</strong> LAST YEAR.<br />

1. Company Name:____________________________________________________<br />

Address:_____________________________Phone:________________________<br />

Contact Person:_______________________Title:_________________________<br />

2. Company Name:____________________________________________________<br />

Address:_____________________________Phone:________________________<br />

Contact Person:_______________________Title:_________________________<br />

3. Company Name:____________________________________________________<br />

Address:_____________________________Phone:________________________<br />

Contact Person:_______________________Title:_________________________<br />

BID NO. 2012-008<br />

39

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